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Artificial Intelligence and the Medical School Admissions Interview: Strategic Guidance, Risks, and Lessons from
Alexander MacIntosh1,2, Nicolas Roulin3, Leila Amiri4
1Acuity Insights Inc., Toronto, ON Canada.
Medical Science Educator
|April 6, 2026
Summary
Artificial intelligence (AI) is changing medical school interviews, offering efficiency but risking fairness. Strategies are needed to ensure AI enhances, rather than compromises, authentic candidate evaluation.
Area of Science:
- Medical Education
- Artificial Intelligence
- Admissions Processes
Background:
- The medical school interview, traditionally human-centered, is increasingly influenced by artificial intelligence (AI).
- AI presents both opportunities for efficiency and risks to fairness in admissions.
- Existing research in industrial-organizational psychology and corporate hiring offers insights into AI's impact on evaluation.
Purpose of the Study:
- To explore the multifaceted impact of AI on medical school interview preparation, design, and delivery.
- To identify emerging threats, such as AI-enabled cheating, and propose mitigation strategies.
- To offer actionable recommendations for integrating AI ethically and effectively into the admissions process.
Main Methods:
- Literature review drawing from industrial-organizational psychology and corporate hiring practices.
- Analysis of AI's current and potential applications in interview contexts.
- Development of practical strategies and recommendations for stakeholders.
Main Results:
- AI offers potential benefits for extending access and improving efficiency in medical school interviews.
- Significant risks include AI-enabled cheating and the potential erosion of authenticity and fairness.
- Practical strategies are proposed to leverage AI while preserving human judgment and value.
Conclusions:
- Medical education leaders must proactively address the integration of AI in admissions.
- Implementing robust policies, comprehensive training, and ethical safeguards is crucial.
- AI can enhance medical school admissions if managed responsibly, aligning with ethical and legal standards.
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